Isaiah Logan, MD | |
709 Barton St, Hearne, TX 77859-3009 | |
(979) 279-3451 | |
(979) 595-1704 |
Full Name | Isaiah Logan |
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Gender | Male |
Speciality | Family Medicine |
Location | 709 Barton St, Hearne, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215318696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | BP10054656 (Texas) | Primary |
Entity Name | Seminole Hospital District Of Gaines County Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821025990 PECOS PAC ID: 2668382516 Enrollment ID: O20040428000104 |
Entity Name | Brazos Valley Community Action Agency Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821185299 PECOS PAC ID: 4284542127 Enrollment ID: O20040708001095 |
Mailing Address | Practice Location Address |
---|---|
Isaiah Logan, MD 1600 Providence Dr, Attn: Traci Mitchell - Admn, Waco, TX 76707-2261 Ph: (254) 313-4200 | Isaiah Logan, MD 709 Barton St, Hearne, TX 77859-3009 Ph: (979) 279-3451 |
Catherine O'krafka, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 Barton St, Hearne, TX 77859 Phone: 979-279-3451 | |
Mr. Darrell D English, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1643 N Market St, Hearne, TX 77859 Phone: 979-279-9913 Fax: 979-279-9941 |